proximal phalanx fracture proximal phalanx fracture, comminuted phalangeal fracture, adjacent interdigital pinning, dynamic external fixation, k-wire proximal phalanx
Conditions
Interventions
Close reduction with traction force. Then, use K-wire size 1.2 mm, pinning from injured finger to adjacent finger at distal part. Also add one K-wire at the base and one more just distal to the fract
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
Adjacent interdigital pinning ,Miniplate fixation
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Isolated proximal phalangeal base fracture Injury less than 7 days
Exclusion criteria
Exclusion criteria: open fracture, Gustilo II and III Neurovascular injury Adjacent finger injury Ipsilateral limb fracture Severe articular comminution (more than 3 fragments) Injury more than 7 days (unable to close reduction) Pre-injury finger stiffness Uncontrolled diabetic mellitus Multiple trauma/ head injury thats interfere rehabilitation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total active motion 1,2,4,6 months finger goniometer | — |
Secondary
| Measure | Time frame |
|---|---|
| grip strength 1,2,4,6 months hand grip dynamometer,Time to union 4,5,6,8,12,24 weeks week,operation time - minutes,Disability score 1,2,4,6 months Quick DASH score,pain 1,2,4,6 months Visual analogue scale,length of stay - days | — |
Countries
Thailand
Contacts
Public ContactThepprasert Veskijkul
Queen Savang Vadhana Memorial hospital
Outcome results
None listed